Lean body weight is the best scale for venous thromboprophylaxis algorithm in severely obese patients undergoing bariatric surgery.

Abstract:

:Severely obese patients undergoing bariatric surgery (BS) are at increased risk for venous thromboembolism (VTE). How standard low molecular weight heparin (LMWH) regimen should be adapted to provide both sufficient efficacy and safety in this setting is unclear. We aimed to compare the influence of four body size descriptors (BSD) on peak anti-Xa levels in BS obese patients receiving LMWH fixed doses to identify which one had the greatest impact. One hundred and thirteen BS obese patients [median body mass index (BMI), 43.3 kg/m2 (IQR, 40.6-48.7 kg/m2)] receiving subcutaneous dalteparin 5000 IU twice daily were included in this prospective monocenter study. Peak steady-state anti-Xa levels were measured peri-operatively following thromboprophylaxis initiation. Only 48% of patients achieved target anti-Xa levels (0.2-0.5 IU/ml). In univariate analysis, age, gender, total body-weight (TBW), lean body-weight (LBW), ideal body-weight (IBW), BMI and estimated glomerural filtration rate (eGFR) were associated with anti-Xa levels. The strongest negative association was observed with LBW (r = -0.56, p < .0001). Receiver operating characteristic curves indicated that among BSD, LBW (cut-off >55.8 kg) had the highest sensitivity (73%) and specificity (69%) to predict sub-prophylactic anti-Xa levels. In multivariate analysis, LBW and eGFR remained associated with anti-Xa levels (β = -0.47 ± 0.08, p < .0001 and β = -0.19 ± 0.08; p = .02, respectively). In BS morbidly obese patients receiving LMWH for thromboprophylaxis after BS, LBW and eGFR are the main determinants of anti-Xa level, and could be proposed in LMWH-based thromboprophylaxis dosing algorithms. The efficacy of a LBW-scale based dosing algorithm for optimal VTE prevention deserves further prospective randomized trials.

journal_name

Pharmacol Res

journal_title

Pharmacological research

authors

Gaborit B,Moulin PA,Bege T,Boullu S,Vincentelli C,Emungania O,Morange PE,Berdah S,Salem JE,Dutour A,Frere C

doi

10.1016/j.phrs.2018.02.012

subject

Has Abstract

pub_date

2018-05-01 00:00:00

pages

211-217

eissn

1043-6618

issn

1096-1186

pii

S1043-6618(17)31367-1

journal_volume

131

pub_type

杂志文章
  • Prescribing habits of general practitioners in choosing an empirical antibiotic regimen for lower respiratory tract infections in adults in Sicily.

    abstract::The survey was carried out, between September 1995 and May 1996, in order to describe the prescriptive behaviour among Sicilian general practitioners (GPs) in choosing an empirical antibiotic regimen for LRTIs in adult patients and begin an educational process which involves the same GPs in decisions regarding their p...

    journal_title:Pharmacological research

    pub_type: 杂志文章

    doi:10.1006/phrs.1998.0484

    authors: Mazzaglia G,Arcoraci V,Greco S,Cucinotta G,Cazzola M,Caputi AP

    更新日期:1999-07-01 00:00:00

  • Antitumor activities and pharmacokinetics of silatecans DB-67 and DB-91.

    abstract::DB-67 and its lactone homolog DB-91 are derivatives of topoisomerase I inhibitor camptothecin (CPT) with silyl moiety, which may exhibit a slower inactivation process by changed kinetics of protein binding and/or hydrolysis of its lactone ring and result in increased antitumor activity and decreased toxicity. Pharmaco...

    journal_title:Pharmacological research

    pub_type: 杂志文章

    doi:10.1016/j.phrs.2009.07.005

    authors: Yeh TK,Li CM,Chen CP,Chuu JJ,Huang CL,Wang HS,Shen CC,Lee TY,Chang CY,Chang CM,Chao YS,Lin CT,Chang JY,Chen CT

    更新日期:2010-02-01 00:00:00

  • The role of l-thyroxine and hepatic reductase activity in isoniazid-induced hepatotoxicity in rabbits.

    abstract::There is evidence that hydrazine, a metabolite of isoniazid, plays an important role in the mechanism of isoniazid-induced hepatotoxicity. Hydrazine has been reported to be metabolised by NADPH cytochrome P-450 reductase (reductase) to reactive and potentially toxic intermediates. The present study was designed, using...

    journal_title:Pharmacological research

    pub_type: 杂志文章

    doi:10.1006/phrs.1998.0347

    authors: Sarich TC,Adams SP,Wright JM

    更新日期:1998-09-01 00:00:00

  • Transplantation of fecal microbiota rich in short chain fatty acids and butyric acid treat cerebral ischemic stroke by regulating gut microbiota.

    abstract::The gut microbiota and its short chain fatty acid (SCFA) metabolites have been established to play an important protective role against neurodegenerative diseases. Our previous study demonstrated that cerebral ischemic stroke triggers dysfunctional gut microbiota and increased intestinal permeability. In this study, w...

    journal_title:Pharmacological research

    pub_type: 杂志文章

    doi:10.1016/j.phrs.2019.104403

    authors: Chen R,Xu Y,Wu P,Zhou H,Lasanajak Y,Fang Y,Tang L,Ye L,Li X,Cai Z,Zhao J

    更新日期:2019-10-01 00:00:00

  • Effects of nitric oxide synthesis inhibition on the Na,K-ATPase activity in the kidney.

    abstract::The present study was aimed at investigating the role of endogenous nitric oxide (NO) in regulating Na,K-ATPase activity in the kidney. The expression of alpha-1 and beta-1 subunits; and the enzymatic activity of Na,K-ATPase were determined in the kidney of rats treated with an NO synthase inhibitor, N(G)-nitro-L-argi...

    journal_title:Pharmacological research

    pub_type: 杂志文章

    doi:10.1006/phrs.1999.0570

    authors: Kang DG,Kim JW,Lee J

    更新日期:2000-01-01 00:00:00

  • Cholinergic responses of seminal vesicles isolated from rats exposed perinatally to hydrocortisone.

    abstract::This study was performed in order to investigate the cholinomimetic response of seminal vesicles isolated from rats treated with hydrocortisone acetate during perinatal life. At the adult phase, the body weight and the wet weight of the seminal vesicle of these animals were unchanged. However, these male rats exhibite...

    journal_title:Pharmacological research

    pub_type: 杂志文章

    doi:

    authors: Pereira OC,Yasuhara F,Arena AC

    更新日期:2003-07-01 00:00:00

  • Urinary pharmacokinetics of betalains following consumption of red beet juice in healthy humans.

    abstract::The aim of the present pilot study was to characterise the renal elimination of betalains after consumption of red beet juice (RBJ). Six healthy, non-smoking female volunteers were given a single oral dose of either 500 mL of a commercial RBJ containing 362.7 mg of betalains and 500 mL of tap water, respectively, in a...

    journal_title:Pharmacological research

    pub_type: 临床试验,杂志文章

    doi:10.1016/j.phrs.2005.04.005

    authors: Frank T,Stintzing FC,Carle R,Bitsch I,Quaas D,Strass G,Bitsch R,Netzel M

    更新日期:2005-10-01 00:00:00

  • Arctigenin, a novel TMEM16A inhibitor for lung adenocarcinoma therapy.

    abstract::TMEM16A plays critical roles in physiological process and may serve as drug targets for diverse diseases. Recently, TMEM16A has started to be regarded as potential primary lung adenocarcinoma targets. Here, we identified that arctigenin, a natural compound, is a novel TMEM16A inhibitor, and it can suppress lung adenoc...

    journal_title:Pharmacological research

    pub_type: 杂志文章

    doi:10.1016/j.phrs.2020.104721

    authors: Guo S,Chen Y,Shi S,Wang X,Zhang H,Zhan Y,An H

    更新日期:2020-05-01 00:00:00

  • Gastric motor effects of triptans: open questions and future perspectives.

    abstract::Sumatriptan is a 5-HT1B/D receptor agonist of documented efficacy in relieving migraine and associated symptoms such as nausea and vomiting. In the past decade, several studies reported an important delay of gastric emptying induced by sumatriptan in healthy humans. The impact of this gastric motor effect of sumatript...

    journal_title:Pharmacological research

    pub_type: 杂志文章,评审

    doi:10.1006/phrs.2000.0766

    authors: Cipolla G,Sacco S,Crema F,Moro E,De Ponti F,Frigo G

    更新日期:2001-03-01 00:00:00

  • Changes of [3H]MK-801, [3H]muscimol and [3H]flunitrazepam binding in rat brain by the prolonged ventricular infusion of ginsenoside Rc and Rg1.

    abstract::In the present study, we have investigated the effects of centrally administered ginsenoside Rc and Rg1 on the modulation of the NMDA receptor and GABA(A)receptor binding in rat brain. The NMDA receptor binding was analysed by quantitative autoradiography using [(3)H]MK-801 binding, and the GABA(A)receptor bindings we...

    journal_title:Pharmacological research

    pub_type: 杂志文章

    doi:10.1006/phrs.2001.0809

    authors: Kim HS,Hwang SL,Nah SY,Oh S

    更新日期:2001-05-01 00:00:00

  • Carnosol-mediated Sirtuin 1 activation inhibits Enhancer of Zeste Homolog 2 to attenuate liver fibrosis.

    abstract::Quiescent hepatic stellate cell (HSC) activation and subsequent conversion into myofibroblasts is the central event in hepatic fibrosis pathogenesis. Epithelial-mesenchymal transition (EMT), another vital participant in liver fibrosis, has the potential to initiate HSC activation, which promotes abundant myofibroblast...

    journal_title:Pharmacological research

    pub_type: 杂志文章

    doi:10.1016/j.phrs.2017.10.013

    authors: Zhao H,Wang Z,Tang F,Zhao Y,Feng D,Li Y,Hu Y,Wang C,Zhou J,Tian X,Yao J

    更新日期:2018-02-01 00:00:00

  • Improved drug targeting of cancer cells by utilizing actively targetable folic acid-conjugated albumin nanospheres.

    abstract::Folic acid-conjugated albumin nanospheres (FA-AN) have been developed to provide an actively targetable drug delivery system for improved drug targeting of cancer cells with reduced side effects. The nanospheres were prepared by conjugating folic acid onto the surface of albumin nanospheres using 1-ethyl-3-(3-dimethyl...

    journal_title:Pharmacological research

    pub_type: 杂志文章

    doi:10.1016/j.phrs.2010.10.012

    authors: Shen Z,Li Y,Kohama K,Oneill B,Bi J

    更新日期:2011-01-01 00:00:00

  • The influence of simvastatin on lipase and cholesterol esterase activity in the serum of men with coronary heart disease.

    abstract::Several studies have demonstrated that any beneficial effects of 3-hydroxy-3-methylglutaryl-coenzyme A (HMG-CoA) reductase inhibitors (statins), of which simvastatin (Merck Sharp & Dohme) is an example, on coronary events are linked to their hypocholesterolemic properties. The in vivo effects of simvastatin treatment ...

    journal_title:Pharmacological research

    pub_type: 临床试验,杂志文章

    doi:10.1006/phrs.2000.0787

    authors: Pioruńska-Stolzmann M,Pioruńska-Mikołajczak A

    更新日期:2001-04-01 00:00:00

  • N-acetyl penicillamine a protector of Plasmodium berghei induced stress organ injury in mice.

    abstract::N-acetyl penicillamine (NAP), a derivative of penicillamine and copper chelator has been employed as a potential protector of host stress organ injury during Plasmodium berghei infection in mice. Intramuscular injection of NAP (60 mg kg-1 body wt for 10 days) to P. berghei mice was able to restrict the hepato- and spl...

    journal_title:Pharmacological research

    pub_type: 杂志文章

    doi:10.1006/phrs.1997.0233

    authors: Srivastava P,Arif AJ,Singh C,Pandey VC

    更新日期:1997-10-01 00:00:00

  • Important roles of protein tyrosine phosphatase PTPN12 in tumor progression.

    abstract::Protein tyrosine phosphatases (PTPs), which are ubiquitously expressed in hematopoietic and non-hematopoietic cells, are critical for regulating cell proliferation as well as differentiation in the physiology of multicellular organisms. PTPs regulate the intracellular signaling mechanism of immune cells via dephosphor...

    journal_title:Pharmacological research

    pub_type: 杂志文章,评审

    doi:10.1016/j.phrs.2019.04.011

    authors: Lee C,Rhee I

    更新日期:2019-06-01 00:00:00

  • Blockade of the p38 mitogen-activated protein kinase pathway inhibits inducible nitric oxide synthase and interleukin-6 expression in MC3T3E-1 osteoblasts.

    abstract::Treatment of MC3T3E-1 osteoblast cultures with combined interferon- gamma(IFN- gamma), lipopolysaccharide (LPS) and tumor necrosis factor- alpha(TNF- alpha) induces expressions of inducible nitric oxide synthase (iNOS) and interleukin-6 (IL-6), resulting in sustained releases of large amounts of nitric oxide and IL-6....

    journal_title:Pharmacological research

    pub_type: 杂志文章

    doi:10.1006/phrs.2000.0778

    authors: Chae HJ,Kim SC,Chae SW,An NH,Kim HH,Lee ZH,Kim HR

    更新日期:2001-03-01 00:00:00

  • Eltanolone (5-beta-pregnanolone) does not trigger, and attenuates halothane triggering of, malignant hyperthermia in malignant hyperthermia susceptible swine.

    abstract::Eltanolone is the lipid emulsion formulation, for intravenous use, of the steroid anaesthetic 5-beta-pregnanolone. We have screened this agent in malignant hyperthermia susceptible (MHS) Landrace swine to assess its potential to trigger the Malignant Hyperthermia (MH) syndrome in MHS subjects or to influence halothane...

    journal_title:Pharmacological research

    pub_type: 杂志文章

    doi:10.1006/phrs.1998.0415

    authors: Harrison GG,Dyer RA,Llewellyn RL,James MF

    更新日期:1999-02-01 00:00:00

  • Impact of SLC22A1 and CYP3A5 genotypes on imatinib response in chronic myeloid leukemia: A systematic review and meta-analysis.

    abstract::Contrasting results have been reported on the role of rs628031 and rs683369 polymorphisms of SLC22A1 and rs776746 of CYP3A5 on imatinib treatment response in patients with chronic myeloid leukemia (CML). In the present study, we conducted a systematic review and meta-analysis of published studies to estimate the impac...

    journal_title:Pharmacological research

    pub_type: 杂志文章,meta分析

    doi:10.1016/j.phrs.2018.02.005

    authors: Cargnin S,Ravegnini G,Soverini S,Angelini S,Terrazzino S

    更新日期:2018-05-01 00:00:00

  • PKC and PKA inhibitors reinstate morphine-induced behaviors in morphine tolerant mice.

    abstract::Male Swiss Webster mice exhibited antinociception, hypothermia and Straub tail 3h following a 75mg morphine pellet implantation. These signs disappeared by 72h, and the morphine-pelleted mice were indistinguishable from placebo-pelleted ones, although brain morphine concentrations ranged from 200 to 400ng/gm. We previ...

    journal_title:Pharmacological research

    pub_type: 杂志文章

    doi:10.1016/j.phrs.2006.09.007

    authors: Smith FL,Javed RR,Smith PA,Dewey WL,Gabra BH

    更新日期:2006-12-01 00:00:00

  • Cholinesterase inhibitors: new roles and therapeutic alternatives.

    abstract::An important aspect of brain cholinesterase function is related to enzymatic differences. The brain of mammals contains two major forms of cholinesterases: acetylcholinesterase (AChE) and butyrylcholinesterase (BuChE). The two forms differ genetically, structurally and for their kinetics. Butyrylcholine is not a physi...

    journal_title:Pharmacological research

    pub_type: 杂志文章,评审

    doi:10.1016/j.phrs.2003.11.017

    authors: Giacobini E

    更新日期:2004-10-01 00:00:00

  • Chelidonine selectively inhibits the growth of gefitinib-resistant non-small cell lung cancer cells through the EGFR-AMPK pathway.

    abstract::Tyrosine kinase inhibitors (TKIs) have been widely used for the clinical treatment of patients with non-small cell lung cancer (NSCLC) harboring mutations in the EGFR. Unfortunately, due to the secondary mutation in EGFR, eventual drug-resistance is inevitable. Therefore, to overcome the resistance, new agent is urgen...

    journal_title:Pharmacological research

    pub_type: 杂志文章

    doi:10.1016/j.phrs.2020.104934

    authors: Xie YJ,Gao WN,Wu QB,Yao XJ,Jiang ZB,Wang YW,Wang WJ,Li W,Hussain S,Liu L,Leung EL,Fan XX

    更新日期:2020-09-01 00:00:00

  • Antiallergic/antiasthmatic activity of oligopeptide related to IgE.

    abstract::In spite of continuous research in the field of bronchial asthma, still no satisfactory drug is available. Recently a new class of oligopeptide exhibited antiallergic activity by inhibiting the synthesis of IgE antibody. The analogue of ADSDGK (94-335) has shown antiallergic activity in experimental models. The 94-335...

    journal_title:Pharmacological research

    pub_type: 杂志文章

    doi:10.1006/phrs.1998.0302

    authors: Singh R,Nath A,Gupta PP,Shulka M,Khare SK,Kundu B

    更新日期:1998-05-01 00:00:00

  • Nootropic drugs have different effects on kindling-induced learning deficits in rats.

    abstract::Kindling represents an accepted model of human epileptogenesis. Furthermore, it has been demonstrated that kindled rats show a diminished learning performance in an active avoidance task. In our study we administered different nootropic drugs to kindled rats to test their effects on learning a two-way active avoidance...

    journal_title:Pharmacological research

    pub_type: 杂志文章

    doi:10.1016/s1043-6618(05)80003-9

    authors: Becker A,Grecksch G

    更新日期:1995-09-01 00:00:00

  • Targeting glucose metabolism to suppress cancer progression: prospective of anti-glycolytic cancer therapy.

    abstract::Most solid tumor cells adapt to their heterogeneous microenvironment by depending largely on aerobic glycolysis for energy production, a phenomenon called the Warburg effect, which is a hallmark of cancer. The altered energy metabolism not only provides cancer cell with ATP for cellular energy, but also generate essen...

    journal_title:Pharmacological research

    pub_type: 杂志文章,评审

    doi:10.1016/j.phrs.2019.104511

    authors: Abdel-Wahab AF,Mahmoud W,Al-Harizy RM

    更新日期:2019-12-01 00:00:00

  • Fostering efficacy and toxicity evaluation of traditional Chinese medicine and natural products: Chick embryo as a high throughput model bridging in vitro and in vivo studies.

    abstract::Efficacy and safety assessments are essential thresholds for drug candidates from preclinical to clinical research. Conventional mammalian in vivo models cannot offer rapid pharmacological and toxicological screening, whereas cell-based or cell-free in vitro systems often lead to inaccurate results because of the lack...

    journal_title:Pharmacological research

    pub_type: 杂志文章,评审

    doi:10.1016/j.phrs.2018.04.011

    authors: Wu T,Yu GY,Xiao J,Yan C,Kurihara H,Li YF,So KF,He RR

    更新日期:2018-07-01 00:00:00

  • The role of small molecule Flt3 receptor protein-tyrosine kinase inhibitors in the treatment of Flt3-positive acute myelogenous leukemias.

    abstract::Flt3 is expressed by early myeloid and lymphoid progenitor cells and it regulates the proliferation and differentiation of hematopoietic cells. Flt3 is activated by the Flt3 ligand, the monomeric form of which is a polypeptide of about 200 amino acid residues. Both membrane-associated and soluble Flt3 ligands, which a...

    journal_title:Pharmacological research

    pub_type: 杂志文章,评审

    doi:10.1016/j.phrs.2020.104725

    authors: Roskoski R Jr

    更新日期:2020-05-01 00:00:00

  • Bisoprolol and hydrochlorothiazide effects on cardiovascular remodeling in spontaneously hypertensive rats.

    abstract::Anti-hypertensive agents may differently stimulate compensatory neuro-hormonal mechanisms and induce different effects on the cardiovascular remodeling and function. The combination of low doses of the two synergistic drugs may lead to a lesser activation of counter regulatory mechanisms and could provide optimal ther...

    journal_title:Pharmacological research

    pub_type: 杂志文章

    doi:10.1016/j.phrs.2004.10.010

    authors: Mougenot N,Médiani O,Lechat P

    更新日期:2005-04-01 00:00:00

  • GDF-11 prevents cardiomyocyte hypertrophy by maintaining the sarcoplasmic reticulum-mitochondria communication.

    abstract::Growth differentiation factor 11 (GDF11) is a novel factor with controversial effects on cardiac hypertrophy both in vivo and in vitro. Although recent evidence has corroborated that GDF11 prevents the development of cardiac hypertrophy, its molecular mechanism remains unclear. In our previous work, we showed that nor...

    journal_title:Pharmacological research

    pub_type: 杂志文章

    doi:10.1016/j.phrs.2019.104273

    authors: Garrido-Moreno V,Díaz-Vegas A,López-Crisosto C,Troncoso MF,Navarro-Marquez M,García L,Estrada M,Cifuentes M,Lavandero S

    更新日期:2019-08-01 00:00:00

  • Fish as model in pharmacological and biological research.

    abstract::Fish represent the oldest and most diverse classes of vertebrates, comprising around the 48% of the known member species in the subphylum Vertebrata. There are many scientific fields that use fish as models in research, including respiratory and cardiovascular research, cell culture, ecotoxicology, ageing, pharmacolog...

    journal_title:Pharmacological research

    pub_type: 杂志文章,评审

    doi:10.1006/phrs.2001.0845

    authors: Bolis CL,Piccolella M,Dalla Valle AZ,Rankin JC

    更新日期:2001-10-01 00:00:00

  • Mechanopharmacology of Rho-kinase antagonism in airway smooth muscle and potential new therapy for asthma.

    abstract::The principle of mechanopharmacology of airway smooth muscle (ASM) is based on the premise that physical agitation, such as pressure oscillation applied to an airway, is able to induce bronchodilation by reducing contractility and softening the cytoskeleton of ASM. Although the underlying mechanism is not entirely cle...

    journal_title:Pharmacological research

    pub_type: 杂志文章,评审

    doi:10.1016/j.phrs.2020.104995

    authors: Wang L,Chitano P,Seow CY

    更新日期:2020-09-01 00:00:00